Partner distress in the context of adult anorexia nervosa: the role of patients' perceived negative consequences of AN and partner behaviors.

Partner distress in the context of adult anorexia nervosa: the role of patients' perceived negative consequences of AN and partner behaviors.
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成人神经性厌食症背景下的伴侣困扰:患者感知的厌食症和伴侣行为负面后果的作用。

DOI:
10.1002/eat.22338
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发表时间:
2015
期刊:
The International journal of eating disorders
影响因子:
--
通讯作者:
Bulik,CynthiaM
Bulik,CynthiaM
中科院分区:
--
文献类型:
--
作者:
Fischer,MelanieS;Baucom,DonaldH;Kirby,JenniferS;Bulik,CynthiaM

文献摘要

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浪漫的伴侣可以在神经性厌食症(AN)的恢复中发挥重要作用。重要的是要了解伴侣的行为和与他们自己的痛苦相关的变量。其目的是检查协会的患者的感知消极后果的AN,行为策略的合作伙伴,和partner distress.MethodWe使用了一个横截面设计,以评估患者的自我报告的感知消极后果的AN,合作伙伴的照顾者的困扰,负面影响,关系满意度之间的关联,和观察编码措施的合作伙伴的行为策略的变化促进和接受/验证。十六个成年患者-合作伙伴的二人在承诺的关系进行了评估,在基线的夫妇为基础的干预AN.ResultsPartners的变化促进缓和患者的感知负面后果的AN和合作伙伴的照顾者的痛苦之间的关联。合作伙伴的接受/验证与合作伙伴的负面affect.DiscussionThis报告代表了第一次描述的具体合作伙伴的行为在AN的上下文中。报告最少痛苦的伴侣是那些试图促进AN行为改变的患者,他们报告了AN的高负面后果,以及试图理解患者经历的伴侣。未来的研究应该检查伴侣行为对AN治疗结果的影响。© 2014 Wiley Periodicals,Inc. (Int J Eat Disord 2015; 48:67-71)
ObjectiveRomantic partners can play an important role in the recovery from anorexia nervosa (AN). It is important to understand partners' behaviors and variables associated with their own distress. The aim was to examine associations of patients' perceived negative consequences of AN, behavioral strategies employed by partners, and partner distress.MethodWe used a cross‐sectional design to assess associations between self‐reports of patients' perceived negative consequences of AN, partners' caregiver distress, negative affect, relationship satisfaction, and observational coding measures of partners' behavioral strategies of change promotion and acceptance/validation. Sixteen adult patient‐partner dyads in committed relationships were assessed at baseline of a couple‐based intervention for AN.ResultsPartners' change promotion moderated the association between patients' perceived negative consequences of AN and partners' caregiver distress. Partners' acceptance/validation was associated with partners' negative affect.DiscussionThis report represents the first description of specific partner behaviors in the context of AN. Partners who reported the least distress were those who were trying to promote changes in AN behaviors in patients who reported high negative consequences of AN, and partners who were trying to show understanding of the patients' experience. Future studies should examine the impact of partner behaviors on AN treatment outcome. © 2014 Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:67–71)